Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2007-02-11
- Last updated
- 2011-05-26
Specialties
Licenses
- License CA
- DC11183
Location
- Practice location
- 350 S LAKE AVE, SUITE 230
- City
- PASADENA CA
- Postal code
- 911013530
- Phone
- 626-449-8314
Organization contact
- Name
- E. WAYNE COLLINS
- Title
- doctor
- Phone
- 6264498314
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.